| NPI | 1407816028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV005238-1) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV005238-1) |
| 152WX0102X Optometrist, Occupational Vision (Licence: NY TUV005238-1) | |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-08-08 |