| NPI | 1285115659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5826) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046.011242) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2023-09-25 |