| NPI | 1760645147 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002085) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010081) |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2016-01-26 |