NPI | 1700458221 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009376) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY 009376) |
Enumeration Date | 2021-07-14 |
Last Update Date | 2021-07-14 |