| NPI | 1881674455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00608900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3948) |
| 152W00000X Optometrist (Licence: MD TA1903) | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2008-02-22 |