| NPI | 1366438210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ NJDA5745) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: NJ DA1143) |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2007-07-08 |