| NPI | 1629452420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2956) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008320) |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2025-01-08 |