| NPI | 1548325863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: PA OEG 1860) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: PA OEG 1860) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-09-11 |