| NPI | 1316100126 |
|---|---|
| Former Name | REBECCA EISS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002061) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTG00542) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2022-07-29 |