| NPI | 1285018721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 9030) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 5079) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2021-01-27 |