| NPI | 1316655376 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009693) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 0003864) |
| Enumeration Date | 2022-11-09 |
| Last Update Date | 2022-11-09 |