| NPI | 1194396648 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6028) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2285) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2023-02-13 |