| NPI | 1114145315 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: NJ 31TD00228400) |
| Additional Taxonomies | 156FX1100X Technician/Technologist, Ophthalmic (Licence: NJ TD2284) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2023-06-19 |