| NPI | 1366972887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008839) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 152W00000X Optometrist (Licence: NJ 27OA0067600) | |
| 152W00000X Optometrist (Licence: NJ 27OA00676000) | |
| 152W00000X Optometrist (Licence: NJ 27OM00143500) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2018-09-13 |