| NPI | 1144624818 |
|---|---|
| Former Name | CONSTANCE RUTH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1972) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC1972) |
| Enumeration Date | 2014-10-09 |
| Last Update Date | 2014-10-09 |