| NPI | 1912198151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007172) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5689) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2020-09-16 |