| NPI | 1235244930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4184) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN OD0000003066) |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2013-09-24 |