| NPI | 1194041236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4897) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008080) |
| 152W00000X Optometrist (Licence: PR 675) | |
| Enumeration Date | 2010-04-14 |
| Last Update Date | 2024-02-08 |