| NPI | 1790203222 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc5422) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00689800) |
| Enumeration Date | 2017-09-05 |
| Last Update Date | 2025-08-19 |