| NPI | 1427464510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002945) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: RI ODTG00656) |
| Enumeration Date | 2014-07-09 |
| Last Update Date | 2022-08-09 |