| 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 |