| NPI | 1447260245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 4861/T1726) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OE008056P) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2009-05-14 |