| NPI | 1336511765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003131) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP1000336) |
| 152W00000X Optometrist (Licence: NY TUV008366) | |
| Enumeration Date | 2015-10-25 |
| Last Update Date | 2017-01-20 |