| NPI | 1336590421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008474) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008474) |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2024-07-23 |