| NPI | 1932255957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: HI OD-673) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001724) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2015-01-01 |