| NPI | 1982803912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: PA OEG001956) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001956) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2026-09-02 |