| NPI | 1083675599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OET008738) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OB008455) |
| Enumeration Date | 2006-04-01 |
| Last Update Date | 2009-08-17 |