| NPI | 1740367473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TRO006678) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV006678-01) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2025-01-15 |