| NPI | 1891516571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 011097-01) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 270A00733500) |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2025-10-30 |