| NPI | 1326323445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2293) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2224) |
| 152W00000X Optometrist (Licence: PA OEG002568) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: NC 2293) | |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2022-02-21 |