| NPI | 1710544564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: SC 2195) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NJ 27oa00687600) |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2020-12-09 |