| NPI | 1457463275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2499) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG000426) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-11-06 |