| NPI | 1588396386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA3012) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00713600) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2024-08-01 |