| NPI | 1619006178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV 006907) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 3996) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2017-01-12 |