| NPI | 1689861239 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 2755) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007154) |
| Enumeration Date | 2007-09-27 |
| Last Update Date | 2024-10-09 |