| NPI | 1013297910 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4609) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN OD3274) |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2019-03-13 |