| NPI | 1356995294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3285) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV009039) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2024-11-07 |