| NPI | 1487620332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 0760) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001365) |
| Enumeration Date | 2006-02-28 |
| Last Update Date | 2007-07-08 |