| NPI | 1326303264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4780) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8013T) |
| 152W00000X Optometrist (Licence: TX 8013TG) | |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2013-10-01 |