| NPI | 1427513167 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003503) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC005736) |
| Enumeration Date | 2019-02-06 |
| Last Update Date | 2025-06-24 |