| NPI | 1922514314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2979) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008715) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2024-04-03 |