| NPI | 1295702264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ OA 05333) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY U00558-1) |
| Enumeration Date | 2006-03-08 |
| Last Update Date | 2008-02-26 |