| NPI | 1538678560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008695) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CT 3050) |
| Enumeration Date | 2017-09-21 |
| Last Update Date | 2018-10-16 |