| NPI | 1366439077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 270A00453000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27T000033700) |
| Enumeration Date | 2005-09-29 |
| Last Update Date | 2008-03-18 |