| NPI | 1346389459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00565300) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 19668-875) |
| 152W00000X Optometrist (Licence: FL TPOP41) | |
| 152W00000X Optometrist (Licence: NY 006214) | |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2023-03-06 |