| NPI | 1144294984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA1411) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001698) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2013-02-08 |