| NPI | 1043522287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00625200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007567) |
| Enumeration Date | 2010-07-03 |
| Last Update Date | 2024-11-21 |