| NPI | 1811127723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00645000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AZ 1742) |
| 152W00000X Optometrist (Licence: NY 007474) | |
| Enumeration Date | 2009-07-27 |
| Last Update Date | 2014-01-14 |