| NPI | 1144685694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5119) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003110) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2021-05-04 |