| NPI | 1326611823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009523) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 1043) |
| Enumeration Date | 2021-07-21 |
| Last Update Date | 2023-04-26 |