| NPI | 1033559745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00664600) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008018-1) |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2021-08-17 |