| NPI | 1720315369 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6076) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00600300) |
| Enumeration Date | 2009-11-03 |
| Last Update Date | 2024-06-18 |