| NPI | 1730341488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00619800) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007269) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2024-08-28 |