| NPI | 1467826768 |
|---|---|
| Former Name | JULIA SIMON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MT 3964) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27oa00661800) |
| Enumeration Date | 2015-11-24 |
| Last Update Date | 2022-11-10 |