| NPI | 1992711097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 005186) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003376) |
| 152W00000X Optometrist (Licence: VA 0618003379) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY tuv005186) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: NY tuv005186) | |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2024-04-19 |