| NPI | 1023156643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00630700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007689-1) |
| 152W00000X Optometrist (Licence: PA OEG001868) | |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2023-05-10 |