| NPI | 1679673958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ OA000658900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ OM00132800) |
| 152W00000X Optometrist (Licence: NH NH0786) | |
| 152W00000X Optometrist (Licence: MA 4666) | |
| 152W00000X Optometrist (Licence: PA OE000344G) | |
| 152W00000X Optometrist (Licence: DE I3-0001407) | |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2019-04-16 |