| NPI | 1871269316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003991) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 270A00708200) |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2023-09-01 |