| NPI | 1861691990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OE008371T) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: PA OE008371T) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2015-02-17 |