| NPI | 1639369127 |
|---|---|
| Former Name | ELIZABETH MARIE WERNER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003245) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1688) |
| 152W00000X Optometrist (Licence: MA 4667) | |
| 152W00000X Optometrist (Licence: CT 002720) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2024-06-06 |