| NPI | 1841443454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00618000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007363) |
| Enumeration Date | 2008-10-28 |
| Last Update Date | 2019-12-10 |