| NPI | 1619600798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0011468) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003919) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2024-02-02 |