| NPI | 1427426675 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003119) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618002499) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2017-02-08 |