| NPI | 1760119085 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 6159) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009635) |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2024-10-23 |