| NPI | 1396192878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 0003998) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008433-1) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2024-07-11 |