| NPI | 1093730178 |
|---|---|
| Former Name | SUSAN FREED |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 270A00543000) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ 27OA00543000) |
| 152WP0200X Optometrist, Pediatrics (Licence: NJ 27OA00543000) | |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2017-02-23 |