| NPI | 1205289790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00716800) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT33414 TLG) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2022-12-22 |