| NPI | 1417325994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00669500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV 008282) |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2022-09-15 |