| NPI | 1649905142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6142) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009598) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-10-09 |