| NPI | 1881764645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV006823) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 006823) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2021-10-22 |