| NPI | 1912212069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NH 0852) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002402) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2023-04-04 |