| NPI | 1689558272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY ORT011227) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD 3105) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-08-05 |