| NPI | 1891167433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5118) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003121) |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2020-07-21 |