| NPI | 1366173718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: NY 9638) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009638) |
| Enumeration Date | 2022-06-17 |
| Last Update Date | 2023-10-11 |