| NPI | 1801855515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY VUT0067861) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006786) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2025-04-09 |