NPI | 1679658009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27TO 00139800) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ OA 00601200) |
Enumeration Date | 2006-10-26 |
Last Update Date | 2007-07-08 |