| NPI | 1760985915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3078) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 9951) |
| Enumeration Date | 2018-03-14 |
| Last Update Date | 2024-10-08 |