| NPI | 1104101492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 270OA00635500) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ 27OA00635500) |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2026-02-10 |