| NPI | 1225443245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008179) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00653000) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2016-11-20 |