NPI | 1972987279 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG003088) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: PA OEG003088) |
152WL0500X Optometrist, Low Vision Rehabilitation (Licence: PA OEG003088) | |
152WX0102X Optometrist, Occupational Vision (Licence: PA OEG003088) | |
Enumeration Date | 2015-07-16 |
Last Update Date | 2015-07-16 |