| NPI | 1932235603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV-005604-1) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY VUT005604-1) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2019-09-25 |