| NPI | 1487384442 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009712) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 3800) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2023-02-25 |