| NPI | 1386961183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007520) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13898) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV007520) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: CA 13898) | |
| Enumeration Date | 2010-05-03 |
| Last Update Date | 2010-05-03 |