NPI | 1780960971 |
---|---|
Former Name | SHOSHANA UNGAR |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA-00631800) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM-00103600) |
Enumeration Date | 2011-11-01 |
Last Update Date | 2013-08-21 |