| NPI | 1215394945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00661700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003087) |
| Enumeration Date | 2016-01-26 |
| Last Update Date | 2016-01-26 |