| NPI | 1063423580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist Pediatrics (Licence: FL OPC3215) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3215) |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2011-09-07 |