| NPI | 1265116008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6234) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 2004-950AT) |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2024-11-14 |