| NPI | 1568726586 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OM00162900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007853) |
| Enumeration Date | 2012-06-25 |
| Last Update Date | 2024-01-30 |