| NPI | 1972985042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003044) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OM00127400) |
| 152W00000X Optometrist (Licence: NJ 27OA00659500) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-04-05 |