| NPI | 1750497657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4163) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00623600) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2010-05-18 |