| NPI | 1184970402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00641200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007865-1) |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2014-02-04 |