| NPI | 1447563747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4807) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002341) |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2024-03-05 |