| NPI | 1538296322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007240) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13054TPA) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2021-12-02 |