| NPI | 1356786933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 874) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002661) |
| Enumeration Date | 2013-05-08 |
| Last Update Date | 2014-11-28 |