| NPI | 1326278813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: NY TUV007415-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007415-1) |
| 152WP0200X Optometrist, Pediatrics (Licence: NY TUV007415-1) | |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2009-07-20 |