| NPI | 1841801487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2898) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00698200) |
| Enumeration Date | 2020-08-16 |
| Last Update Date | 2023-08-09 |