| NPI | 1437159910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY VUT004693) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 21310-875) |
| Enumeration Date | 2005-07-27 |
| Last Update Date | 2022-05-16 |