| NPI | 1891728259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VT 030-0000327) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV-006729) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2019-08-20 |