| NPI | 1215345558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00655900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002961) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2018-10-09 |