| NPI | 1720651938 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 009420) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00734100) |
| 152W00000X Optometrist (Licence: NJ 27OM00201700) | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2026-04-07 |