| NPI | 1659903805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003886) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011392) |
| Enumeration Date | 2020-02-05 |
| Last Update Date | 2022-11-07 |