| NPI | 1588078992 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008726) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 8726) |
| Enumeration Date | 2014-06-13 |
| Last Update Date | 2023-06-30 |