| NPI | 1285678722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002036) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NJ 5647) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2022-07-14 |