| NPI | 1699926287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00617700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00074000) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2011-09-30 |