| NPI | 1316491566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00667900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008495) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |