| NPI | 1073513057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2300DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 2467) |
| Enumeration Date | 2005-07-30 |
| Last Update Date | 2025-02-13 |