| NPI | 1265632897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OET009016) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 06786T) |
| Enumeration Date | 2007-07-23 |
| Last Update Date | 2017-05-03 |