| NPI | 1336404342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4748) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002634) |
| Enumeration Date | 2012-07-06 |
| Last Update Date | 2023-03-29 |