| NPI | 1326617945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: FL OPC6172) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3683-35) |
| Enumeration Date | 2021-06-18 |
| Last Update Date | 2024-05-23 |