| NPI | 1235129206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5915) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 7308) |
| 152W00000X Optometrist (Licence: SC 1366) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: SC 1366) | |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2024-03-18 |