| NPI | 1831610443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008917) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5211) |
| Enumeration Date | 2017-07-05 |
| Last Update Date | 2026-02-05 |