| NPI | 1285017160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 1010) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003070) |
| Enumeration Date | 2015-07-09 |
| Last Update Date | 2024-04-11 |