| NPI | 1750904397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY ORT009737) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00726400) |
| 152W00000X Optometrist (Licence: GA OPT003233) | |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2026-03-03 |