| NPI | 1528166782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00587200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00064700) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2021-03-11 |