| NPI | 1851554430 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 4793) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002087) |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2016-05-25 |