| NPI | 1023859469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG004331) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPT6463) |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2026-03-13 |