| NPI | 1699109025 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1988) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 270A00646900) |
| 152W00000X Optometrist (Licence: NY 008073) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2015-03-17 |