| NPI | 1376831131 |
|---|---|
| Former Name | DANA BETH FISHER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00653900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007730) |
| Enumeration Date | 2011-07-14 |
| Last Update Date | 2018-04-03 |