| NPI | 1407382476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008732) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33440TLG) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-01-17 |