| NPI | 1013745397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00738600) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG004235) |
| Enumeration Date | 2024-07-26 |
| Last Update Date | 2025-11-30 |