| NPI | 1902636301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: NJ 27OA00731200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00731200) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |