| NPI | 1235223066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV006452-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001225) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2024-06-24 |