| NPI | 1760648497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CO 0003344) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00614700) |
| 152W00000X Optometrist (Licence: NY TUV007342) | |
| Enumeration Date | 2008-08-01 |
| Last Update Date | 2024-08-07 |