| NPI | 1598293615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2268) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003262) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2023-03-29 |