| NPI | 1679543003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007020-1) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NJ 27OA00593700) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-10-20 |