| NPI | 1861045502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008953) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPFC93) |
| Enumeration Date | 2019-07-22 |
| Last Update Date | 2023-10-13 |