| NPI | 1487067427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002931) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: PA OEG002931) |
| Enumeration Date | 2014-06-07 |
| Last Update Date | 2017-04-24 |