| NPI | 1023185774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc3053) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC 3053) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2019-03-05 |