| NPI | 1770922692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002798) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC6200) |
| 152W00000X Optometrist (Licence: NH 1220) | |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2024-12-03 |