| NPI | 1770513525 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ OA 5492) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: NJ OA 5492) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: NJ OA 5492) | |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2016-05-12 |