| NPI | 1720086093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2320) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001247) |
| Enumeration Date | 2005-07-12 |
| Last Update Date | 2022-09-21 |