| NPI | 1013008226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG001178) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DE I3-0001187) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-12-04 |