| NPI | 1013211598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 1784) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4536) |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |