| NPI | 1023314382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4623) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002384) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2018-05-18 |