| NPI | 1891083507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 007725) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00640000) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2012-07-10 |