| NPI | 1831875848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00731700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00199200) |
| 152W00000X Optometrist (Licence: NY TRO009795) | |
| Enumeration Date | 2023-06-26 |
| Last Update Date | 2024-08-14 |