| NPI | 1497432058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009823-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG004137) |
| Enumeration Date | 2023-07-05 |
| Last Update Date | 2024-07-01 |