| NPI | 1366757932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002872) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007550) |
| Enumeration Date | 2010-08-08 |
| Last Update Date | 2021-03-14 |