| NPI | 1750713103 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2082DT) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NY 2082DT) |
| Enumeration Date | 2013-08-07 |
| Last Update Date | 2024-03-26 |