| NPI | 1841631009 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008036-1) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV008036) |
| 152WP0200X Optometrist, Pediatrics (Licence: NY TUV008036-1) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2018-06-16 |