| NPI | 1275066144 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008862) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3035) |
| 152W00000X Optometrist (Licence: NY 8862) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2023-06-30 |