| NPI | 1679027742 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GU OL051) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003203) |
| Enumeration Date | 2016-08-06 |
| Last Update Date | 2021-02-15 |