| NPI | 1295266583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5615) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IN 18004009A) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2020-07-20 |