| NPI | 1871584300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 270AQQ560500) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27To00100100) |
| Enumeration Date | 2005-11-03 |
| Last Update Date | 2013-12-12 |