| NPI | 1114656972 |
|---|---|
| Other Name | JENNY LIU |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003997) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV009681) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: PA OEG003997) | |
| Enumeration Date | 2022-06-07 |
| Last Update Date | 2023-10-03 |