| NPI | 1568127447 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6061) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: NJ 27OA00708300) |
| 152WV0400X Optometrist Vision Therapy (Licence: NJ 27OA00708300) | |
| 152W00000X Optometrist (Licence: NJ 27OA00708300) | |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2022-07-18 |