| NPI | 1982957577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: PA OEG002657) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 007959) |
| Enumeration Date | 2012-10-19 |
| Last Update Date | 2013-06-12 |