| NPI | 1639664154 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00708100) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008810) |
| Enumeration Date | 2018-06-27 |
| Last Update Date | 2024-02-09 |