| NPI | 1821385428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002492) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007692) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA OEG002492) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: NY TUV007692) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2016-02-11 |