| NPI | 1083835177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00560200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00044500) |
| 152W00000X Optometrist (Licence: NY TUV005975) | |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-02-05 |