| NPI | 1306330337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003604) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 0971) |
| Enumeration Date | 2018-06-22 |
| Last Update Date | 2019-08-14 |