| 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 |