| NPI | 1942682208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009068-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2015019901) |
| Enumeration Date | 2015-06-23 |
| Last Update Date | 2024-02-16 |