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 |