| NPI | 1568072379 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009236) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 270A00699000) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2020-09-29 |