| NPI | 1821720772 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6186) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00713500) |
| Enumeration Date | 2022-06-29 |
| Last Update Date | 2023-11-15 |