| NPI | 1316029606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007677) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 06781TG) |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-12-15 |