| NPI | 1942372529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV006261) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: NY TUV006261) |
| 156FC0801X Technician/Technologist, Contact Lens Fitter (Licence: NY TUV006261) | |
| 156FX1700X Technician/Technologist, Ocularist (Licence: NY TUV006261) | |
| 156FX1900X Technician/Technologist, Orthoptist (Licence: NY TUV006261) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-07-08 |