| NPI | 1770923732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: NY TUV008003) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008003-1) |
| Enumeration Date | 2013-07-04 |
| Last Update Date | 2023-07-13 |