| NPI | 1528806056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011295) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 11151) |
| Enumeration Date | 2024-07-18 |
| Last Update Date | 2025-09-12 |