| NPI | 1942641626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 003232) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007996) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2025-03-20 |