NPI | 1568726586 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OM00162900) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007853) |
Enumeration Date | 2012-06-25 |
Last Update Date | 2024-01-30 |