| NPI | 1598285298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008596) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NY 008596) |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2022-07-21 |