| NPI | 1942787650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00694400) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003448) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2023-12-04 |