| NPI | 1235300427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00613100) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00055900) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2016-12-12 |