| NPI | 1033734876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009294-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00695700) |
| Enumeration Date | 2020-06-08 |
| Last Update Date | 2023-04-25 |