| NPI | 1154043982 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG004220) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 35252) |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2025-02-26 |