| NPI | 1952897571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009011-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002668) |
| Enumeration Date | 2018-07-06 |
| Last Update Date | 2022-09-18 |