| NPI | 1215385364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5212) |
| Additional Taxonomies | 152WL0500X Optometrist Low Vision Rehabilitation (Licence: FL OPC5212) |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2023-12-20 |