| NPI | 1538804109 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 000000) |
| Enumeration Date | 2022-04-28 |
| Last Update Date | 2022-08-01 |