| NPI | 1841429941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007458) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4770) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2013-11-21 |