| NPI | 1669447546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY 160134) |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 160134) |
| 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: NY 160134) | |
| Enumeration Date | 2006-02-22 |
| Last Update Date | 2023-07-05 |