| NPI | 1538542501 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV008393) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00660400) |
| 152W00000X Optometrist (Licence: NJ 27OM00128100) | |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2018-09-14 |