| NPI | 1962477679 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG001257) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH OPT006443) |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2024-11-25 |