| NPI | 1326248931 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007205-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001938) |
| Enumeration Date | 2007-07-21 |
| Last Update Date | 2008-08-03 |