| NPI | 1457848269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NY 008781) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003518) |
| Enumeration Date | 2018-04-17 |
| Last Update Date | 2024-09-13 |