| NPI | 1851938039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003590) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: PA OEG003590) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OEG003590) | |
| Enumeration Date | 2019-12-05 |
| Last Update Date | 2021-09-28 |