| NPI | 1891041307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00641000) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007889) |
| Enumeration Date | 2012-08-02 |
| Last Update Date | 2012-08-02 |