| NPI | 1528665049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003752) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD-930) |
| 152W00000X Optometrist (Licence: NY 009282) | |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2022-10-27 |