| NPI | 1235621533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003466) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00739001) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2025-11-07 |