| NPI | 1447263330 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OM00069000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 270A00543300) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2013-07-25 |