| NPI | 1073949061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MA 5068) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4829) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2018-05-04 |