| NPI | 1245496538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4329) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG004312) |
| 152W00000X Optometrist (Licence: NH 1513) | |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2025-10-13 |