| NPI | 1003460197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00689500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV009083) |
| 152W00000X Optometrist (Licence: NY 009083) | |
| Enumeration Date | 2019-07-28 |
| Last Update Date | 2023-01-23 |