| NPI | 1871967356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00677900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008380) |
| Enumeration Date | 2015-11-20 |
| Last Update Date | 2019-01-09 |