| NPI | 1144289919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC002225) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPCOO2225) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2011-02-18 |