| NPI | 1033349915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4493) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5909) |
| 152W00000X Optometrist (Licence: WV 1072-OD) | |
| Enumeration Date | 2009-07-25 |
| Last Update Date | 2015-07-09 |