| NPI | 1508884982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY VUT006518-1) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: NY VUT006518-1) |
| 152WP0200X Optometrist Pediatrics (Licence: NY VUT006518-1) | |
| 152WV0400X Optometrist Vision Therapy (Licence: NY VUT006518-1) | |
| 152WX0102X Optometrist Occupational Vision (Licence: NY VUT006518-1) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2010-11-09 |