| NPI | 1427497429 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2357) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002797) |
| Enumeration Date | 2013-06-23 |
| Last Update Date | 2017-06-27 |