| 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 |