| NPI | 1306278346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00663800) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007972-1) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2018-10-22 |