| NPI | 1427604982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00718500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003608) |
| 152W00000X Optometrist (Licence: NY TUV009031-01) | |
| Enumeration Date | 2019-08-12 |
| Last Update Date | 2023-11-07 |