| NPI | 1427201474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC SC1973) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00513000) |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2019-10-29 |