| NPI | 1942340237 |
|---|---|
| Former Name | GERALDINE BAUER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 270A00479100) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ nj4791) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-01-24 |