| NPI | 1174800403 |
|---|---|
| Other Name | EDNA I BERROCAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4888) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IA 002529) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2014-06-23 |