| NPI | 1265868723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CA 14796TLG) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4843) |
| Enumeration Date | 2013-09-16 |
| Last Update Date | 2018-03-17 |