| NPI | 1518198027 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 5005) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002249) |
| 152W00000X Optometrist (Licence: DE I3-0001336) | |
| 152W00000X Optometrist (Licence: CO OPT0002867) | |
| Enumeration Date | 2009-07-31 |
| Last Update Date | 2022-07-21 |