| NPI | 1205115474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist Corneal and Contact Management (Licence: NY 007777) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007777) |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2019-08-23 |