| NPI | 1770696916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007048) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV007048) |
| 152W00000X Optometrist (Licence: NY 171657) | |
| Enumeration Date | 2006-08-15 |
| Last Update Date | 2011-02-04 |