| NPI | 1194886507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2551) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY T005230) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2019-03-04 |