| NPI | 1700190303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00626200) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007606) |
| Enumeration Date | 2010-08-06 |
| Last Update Date | 2013-04-15 |