| NPI | 1083066005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 0944) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003206) |
| Enumeration Date | 2016-07-02 |
| Last Update Date | 2020-05-11 |