| NPI | 1194725606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: NY TUV006315) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NY VUT006315) |
| Enumeration Date | 2005-07-26 |
| Last Update Date | 2010-12-29 |