| NPI | 1336974468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00731800) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT35701-TLG) |
| Enumeration Date | 2024-09-06 |
| Last Update Date | 2024-09-09 |