| NPI | 1336379809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00670000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007441) |
| Enumeration Date | 2009-07-19 |
| Last Update Date | 2018-08-02 |