| NPI | 1043788946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003505) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008900-1) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2019-12-24 |