NPI | 1003353384 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00672000) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008547) |
Enumeration Date | 2017-01-25 |
Last Update Date | 2017-01-25 |