| NPI | 1013997592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: NJ 27OA00552700) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NJ 27TO00085900) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2007-07-08 |