| NPI | 1194815316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY UT004997-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV004997-1) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2016-12-05 |