| NPI | 1881859908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002162) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00615800) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2010-06-16 |