| NPI | 1710934252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007825) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046009832) |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2012-09-28 |