| NPI | 1316020175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NV 842) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4749) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-02-06 |