| NPI | 1801943493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV005600-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618000945) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2007-07-08 |