| NPI | 1477406189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG004392) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3982) |
| Enumeration Date | 2026-02-20 |
| Last Update Date | 2026-07-27 |