| NPI | 1528786241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009643) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00715600) |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2023-12-01 |