| NPI | 1336215870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002191) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC2466) |
| 152W00000X Optometrist (Licence: CA OPT 9110) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2016-06-10 |