| NPI | 1376579060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00584700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 1245) |
| 152W00000X Optometrist (Licence: NY 006841) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ 27OA00584700) | |
| 152W00000X Optometrist (Licence: NY TUV00684100) | |
| Enumeration Date | 2006-06-24 |
| Last Update Date | 2024-12-12 |