| NPI | 1144637844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 2086) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002910) |
| Enumeration Date | 2014-07-15 |
| Last Update Date | 2020-04-20 |