| NPI | 1770737819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002099) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00617900) |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |