| NPI | 1548323280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 4593) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 4586) |
| 152W00000X Optometrist (Licence: PA 6494P) | |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2016-11-22 |