| NPI | 1598099335 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00623100) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007472) |
| Enumeration Date | 2009-09-27 |
| Last Update Date | 2009-11-10 |