| NPI | 1144592601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00635200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY T005697) |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2013-12-02 |