| NPI | 1609289685 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY tuv008115) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NY tuv008115) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2019-04-08 |