| NPI | 1285930362 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4597) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL R208TA35) |
| Enumeration Date | 2011-02-07 |
| Last Update Date | 2014-11-18 |