| NPI | 1821285016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 2707) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NY 56007344) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2024-06-10 |