| NPI | 1154754810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2351) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4797) |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2018-04-28 |