| NPI | 1003220351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00652600) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 5037) |
| Enumeration Date | 2014-06-15 |
| Last Update Date | 2019-12-23 |