| NPI | 1194391243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009521) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2800) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2022-08-10 |