| NPI | 1831328897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007463) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 7463) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2023-06-29 |