NPI | 1891459830 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 27OA00709700) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00176800) |
Enumeration Date | 2021-10-26 |
Last Update Date | 2021-10-26 |