| NPI | 1518213420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV-007838) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY TUV-007838-1) |
| Enumeration Date | 2012-07-29 |
| Last Update Date | 2022-10-05 |