| NPI | 1659723310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 270A00667600) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008483) |
| Enumeration Date | 2016-07-06 |
| Last Update Date | 2021-04-23 |