| NPI | 1447608849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OH 6499) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003253) |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2020-02-10 |