| NPI | 1023321056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2221) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002339) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2017-11-14 |