| NPI | 1346724556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 6431) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008806) |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2025-04-02 |