| NPI | 1841745502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00668200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00668201) |
| 152W00000X Optometrist (Licence: NJ 27OA00668202) | |
| 152W00000X Optometrist (Licence: PA OEG003229) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-10-12 |