| NPI | 1205423373 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6054) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3644) |
| Enumeration Date | 2020-12-23 |
| Last Update Date | 2022-07-08 |