| NPI | 1669736799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-001426) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00106700) |
| 152W00000X Optometrist (Licence: NY TUV007830-1) | |
| 152W00000X Optometrist (Licence: PA OEG002601) | |
| 152W00000X Optometrist (Licence: NJ 27OA00639600) | |
| Enumeration Date | 2012-07-04 |
| Last Update Date | 2021-08-17 |