| NPI | 1922801471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00728500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY ORT011044) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |