| NPI | 1518691948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00713300) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 009583) |
| Enumeration Date | 2022-07-12 |
| Last Update Date | 2022-07-12 |