| NPI | 1679888556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2218) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002331) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2017-11-15 |