NPI | 1669963534 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG004242) |
Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00679600) |
152W00000X Optometrist (Licence: CA OPT34807) | |
Enumeration Date | 2018-05-25 |
Last Update Date | 2025-08-14 |