| NPI | 1528843604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011049) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00721700) |
| Enumeration Date | 2023-08-28 |
| Last Update Date | 2024-12-03 |