| NPI | 1194499335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009492-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003811) |
| Enumeration Date | 2021-08-02 |
| Last Update Date | 2023-02-21 |