| NPI | 1568017689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY tuv009119-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00692000) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2023-12-24 |