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 |