| NPI | 1972733293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1910-846AT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007471) |
| 152W00000X Optometrist (Licence: CT 3054) | |
| Enumeration Date | 2009-07-21 |
| Last Update Date | 2024-10-15 |