| NPI | 1053978122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC5644) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: FL OPC5644) |
| 152W00000X Optometrist (Licence: FL OPC5644) | |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2026-06-09 |