| NPI | 1548645179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009273) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003079) |
| Enumeration Date | 2015-07-24 |
| Last Update Date | 2022-07-03 |