| NPI | 1598997264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 004470) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2184) |
| 152W00000X Optometrist (Licence: PA OEG002324) | |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2023-02-24 |