| NPI | 1770725152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2131) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002289) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2011-01-26 |