| NPI | 1790496826 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00714900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV009604-01) |
| Enumeration Date | 2022-12-09 |
| Last Update Date | 2024-09-10 |