| NPI | 1710328976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002834) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD795) |
| Enumeration Date | 2013-07-16 |
| Last Update Date | 2014-10-09 |