| NPI | 1740444975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00624400) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007332) |
| Enumeration Date | 2008-07-16 |
| Last Update Date | 2021-04-27 |