| NPI | 1154842961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL CPC5617) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2034) |
| 152W00000X Optometrist (Licence: MA 5214) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: MA 5214) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2021-09-02 |