| NPI | 1386482594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6815) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009985) |
| Enumeration Date | 2024-07-20 |
| Last Update Date | 2025-11-14 |