| NPI | 1144411455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ 27OA00595000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00595000) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2018-11-15 |