| NPI | 1912568585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009006) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV009006) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |