| NPI | 1275609794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4406) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007099) |
| 152W00000X Optometrist (Licence: FL OFC32) | |
| Enumeration Date | 2006-11-27 |
| Last Update Date | 2011-09-26 |