| NPI | 1295080596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007925) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00640600) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2023-11-22 |