| NPI | 1891588414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA 32100097) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00737900) |
| Enumeration Date | 2025-05-27 |
| Last Update Date | 2025-09-05 |