| NPI | 1144874256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00690900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00158400) |
| Enumeration Date | 2019-07-26 |
| Last Update Date | 2019-09-10 |