| NPI | 1285157966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 8876TUV) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 5237) |
| 152W00000X Optometrist (Licence: MA 5237) | |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2023-02-13 |