| NPI | 1962023796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: NY 009212) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009212) |
| Enumeration Date | 2020-05-04 |
| Last Update Date | 2020-11-08 |