NPI | 1508802513 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27TO00116402) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY T006396) |
Enumeration Date | 2006-06-20 |
Last Update Date | 2007-11-14 |