| NPI | 1518479187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009245) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33796TLG) |
| Enumeration Date | 2017-11-03 |
| Last Update Date | 2023-06-07 |