| NPI | 1245679828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00683600) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008091) |
| Enumeration Date | 2013-06-18 |
| Last Update Date | 2024-09-05 |