| NPI | 1922239631 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002232) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA PAOEG002232) |
| Enumeration Date | 2009-07-29 |
| Last Update Date | 2024-09-08 |