| NPI | 1285231514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009257) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009257) |
| Enumeration Date | 2020-10-09 |
| Last Update Date | 2023-11-29 |