| NPI | 1215551759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC005793) |
| Additional Taxonomies | 152WC0802X Optometrist Corneal and Contact Management (Licence: FL OPC005793) |
| 152WS0006X Optometrist Sports Vision (Licence: FL OPC005793) | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-10-27 |