| NPI | 1780656884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1694) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006935) |
| Enumeration Date | 2006-02-02 |
| Last Update Date | 2019-10-22 |