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 |