| NPI | 1447929088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV009382-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00705900) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-02-16 |