| NPI | 1144459215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4697) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002261) |
| Enumeration Date | 2009-07-09 |
| Last Update Date | 2015-07-29 |