| NPI | 1881372654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00727800) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: NY TUV009831-01) |
| 152WX0102X Optometrist, Occupational Vision (Licence: NY TUV009831-01) | |
| Enumeration Date | 2023-07-10 |
| Last Update Date | 2025-07-17 |