| NPI | 1982086930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY ORT008321-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008321) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2024-12-10 |