| NPI | 1720857386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011132) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 10984TG) |
| Enumeration Date | 2023-12-25 |
| Last Update Date | 2025-02-27 |