| NPI | 1265671523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 3958) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27TO00134000) |
| 152W00000X Optometrist (Licence: NJ 27OA00579900) | |
| 152W00000X Optometrist (Licence: NY TUV006347) | |
| Enumeration Date | 2009-02-10 |
| Last Update Date | 2023-11-09 |