| NPI | 1760899934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 0954) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002969) |
| 152W00000X Optometrist (Licence: MA 5050) | |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2021-12-07 |