| NPI | 1679913446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2564) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV 56007999) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2019-11-25 |