| NPI | 1477681740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00542900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00021500) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2015-06-02 |