| NPI | 1861844466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0001398) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003173) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2025-01-05 |