| NPI | 1902351588 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT3307) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008436) |
| 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist (Licence: NY TUV008436) | |
| Enumeration Date | 2016-08-24 |
| Last Update Date | 2022-12-14 |