NPI | 1487747887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA004989) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00119300) |
Enumeration Date | 2006-09-30 |
Last Update Date | 2024-05-16 |