NPI | 1225392483 |
---|---|
Former Name | JONI FELDBAUM |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00640500) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007832) |
152W00000X Optometrist (Licence: NJ 27OM00112100) | |
Enumeration Date | 2012-07-02 |
Last Update Date | 2015-05-27 |