| NPI | 1992924682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NJ 270A00287700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27T000046100) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2007-07-08 |