| NPI | 1295347268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0620000054) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00697700) |
| 152W00000X Optometrist (Licence: NY TUV009226-01) | |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2026-01-27 |