| NPI | 1437754363 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00702400) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009285) |
| Enumeration Date | 2020-11-30 |
| Last Update Date | 2021-09-16 |