| NPI | 1295263903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5503) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008615) |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-08-20 |