| NPI | 1013953744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00555000) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ 27OA00555000) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV006312-1) | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2014-07-22 |