| NPI | 1457195539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011262) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL Resident) |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2025-08-07 |