| NPI | 1659997070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 1039) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003663) |
| Enumeration Date | 2020-06-22 |
| Last Update Date | 2021-08-27 |