| NPI | 1780931840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009411) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4688) |
| Enumeration Date | 2012-08-08 |
| Last Update Date | 2024-09-09 |