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 |