| NPI | 1598195216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 3067) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00646000) |
| Enumeration Date | 2013-11-15 |
| Last Update Date | 2018-03-06 |