| NPI | 1851731970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002793) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00657200) |
| Enumeration Date | 2013-07-03 |
| Last Update Date | 2022-07-21 |