| NPI | 1285209106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6051) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003794) |
| Enumeration Date | 2021-05-24 |
| Last Update Date | 2022-08-29 |