NPI | 1811929631 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00599901) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27TO00138701) |
Enumeration Date | 2006-07-06 |
Last Update Date | 2007-07-08 |