| NPI | 1952752255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008481) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011527) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2025-08-21 |