| NPI | 1285830885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MN 3071) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3299) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2021-05-07 |