| NPI | 1285788471 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY TUV006712) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00594600) |
| 152W00000X Optometrist (Licence: NJ 27TO00133100) | |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2007-09-28 |