| NPI | 1073954251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00647900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00114000) |
| 152W00000X Optometrist (Licence: NJ 27OA00647901) | |
| 152W00000X Optometrist (Licence: NJ 27OA00647902) | |
| 152W00000X Optometrist (Licence: NJ 27OA00647903) | |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2017-05-04 |