| NPI | 1437712767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002829) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV009007) |
| Enumeration Date | 2019-04-22 |
| Last Update Date | 2024-03-27 |