NPI | 1003956699 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00678100) |
Additional Taxonomies | 152W00000X Optometrist (Licence: PR 632) |
Enumeration Date | 2007-02-06 |
Last Update Date | 2021-03-12 |