| NPI | 1225348899 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002400) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1612) |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |