| NPI | 1730270638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ TO-000796) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ OA-05422) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2022-07-21 |