NPI | 1659628741 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: NY 007917) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007917) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 007917) | |
152WV0400X Optometrist, Vision Therapy (Licence: NY 007917) | |
Enumeration Date | 2012-08-08 |
Last Update Date | 2012-08-08 |