| NPI | 1457090052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VT 030.0133983) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV009543-01) |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2024-03-25 |