| NPI | 1952815375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008713) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VT 030.0134017) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2025-04-29 |