| NPI | 1285462366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY ORT009995) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618003487) |
| Enumeration Date | 2024-07-22 |
| Last Update Date | 2025-05-23 |