| NPI | 1609843341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ OA5844) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY VUT006419) |
| 152W00000X Optometrist (Licence: NJ OM 0045700) | |
| Enumeration Date | 2006-03-01 |
| Last Update Date | 2011-10-24 |