| NPI | 1922263433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001725) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001954) |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2021-06-01 |