| NPI | 1538471172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002457) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00625100) |
| Enumeration Date | 2010-07-12 |
| Last Update Date | 2021-02-03 |