| NPI | 1801439674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00723800) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 34442TLG) |
| Enumeration Date | 2019-10-23 |
| Last Update Date | 2025-07-07 |