| NPI | 1114302346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5174) |
| Additional Taxonomies | 152WV0400X Optometrist Vision Therapy (Licence: FL OPC5174) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2024-08-08 |