| NPI | 1487852836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PR 567) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006625-1) |
| Enumeration Date | 2007-07-06 |
| Last Update Date | 2018-01-25 |