| NPI | 1609961192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV006664-1) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NY TUV006664-1) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2007-12-13 |