| NPI | 1679982557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00656000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEGOO2775) |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-14 |