| NPI | 1528473667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003377) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4948) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2022-10-15 |