| NPI | 1730105677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OET008885) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001249) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2024-09-13 |