| NPI | 1740696749 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003959) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8488T) |
| 152W00000X Optometrist (Licence: DE I3-0001385) | |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2023-12-06 |