| NPI | 1316950348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002181) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007039) |
| 152W00000X Optometrist (Licence: PA OEG002182) | |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2025-10-16 |