| NPI | 1013916949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4616) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 4106) |
| Enumeration Date | 2005-07-21 |
| Last Update Date | 2013-01-15 |