| NPI | 1922237999 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV007464) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 0007464) |
| Enumeration Date | 2009-07-10 |
| Last Update Date | 2021-04-20 |