| NPI | 1699337196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2637) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003552) |
| Enumeration Date | 2019-07-03 |
| Last Update Date | 2021-12-22 |