| NPI | 1629208525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NJ 27OAOO620000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007642-1) |
| Enumeration Date | 2009-07-26 |
| Last Update Date | 2018-11-16 |