| NPI | 1487603643 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27oa00578100) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ to00119800) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2008-02-12 |