| NPI | 1376994277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OM00136600) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046011142) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2023-01-16 |