| NPI | 1275267478 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00714500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003958) |
| Enumeration Date | 2022-07-13 |
| Last Update Date | 2024-05-17 |