| NPI | 1366558488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 0A5749) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 0PC3646) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2018-06-28 |