| NPI | 1821668823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003802) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00707200) |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-07-02 |