| NPI | 1609073998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00607402) |
| Additional Taxonomies | 156F00000X Technician/Technologist (Licence: NJ 27OA00607402) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2012-09-18 |