| NPI | 1457539991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2299) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007152) |
| Enumeration Date | 2008-02-06 |
| Last Update Date | 2023-02-16 |