| NPI | 1083274278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003530) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002933) |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2023-04-24 |