| NPI | 1720062672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OM00097500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 270A00628200) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2013-08-01 |