| NPI | 1689015372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY TUV008046) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008046) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV008046) | |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2023-05-09 |