| NPI | 1720235385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ 27OA00617200) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: NJ 27OA00617200) |
| 152W00000X Optometrist (Licence: NY TUV007293) | |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2012-03-27 |