| NPI | 1710390703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008368TRO) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 14907) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2025-06-11 |