| NPI | 1225292709 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4593) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 5803) |
| 152WP0200X Optometrist, Pediatrics (Licence: FL OPC4593) | |
| 152WP0200X Optometrist, Pediatrics (Licence: OH 5803) | |
| Enumeration Date | 2008-07-15 |
| Last Update Date | 2022-02-24 |