NPI | 1912372871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2436) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008260-1) |
152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ 27OA00663100) | |
Enumeration Date | 2015-12-03 |
Last Update Date | 2025-05-28 |