| NPI | 1184038390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 005097) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008187) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2019-02-20 |