| NPI | 1497276265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3037) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008646) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2020-05-09 |