| NPI | 1063594547 |
|---|---|
| Former Name | KATHLEEN MAGUIRE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2083) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27TO00078600) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2022-01-10 |