| NPI | 1740695295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009240) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8463T) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-04-13 |