| NPI | 1194014845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4847) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2229) |
| Enumeration Date | 2011-04-04 |
| Last Update Date | 2018-12-19 |