| NPI | 1740269034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00583500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27TO00122500) |
| Enumeration Date | 2006-01-13 |
| Last Update Date | 2007-07-08 |