| NPI | 1144868001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00700400) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009033) |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2024-12-09 |