| NPI | 1548942626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00722500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG004072) |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-11-21 |