| NPI | 1275773160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00545900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00545901) |
| 152W00000X Optometrist (Licence: NJ 27TO00083901) | |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2022-11-01 |