| NPI | 1295407880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY RT009454) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3765) |
| 152W00000X Optometrist (Licence: PA OEG004145) | |
| Enumeration Date | 2021-10-01 |
| Last Update Date | 2024-07-29 |