| NPI | 1205409505 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009406) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY TUV009406) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2022-11-04 |