| NPI | 1336423185 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA2244) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OFC48) |
| Enumeration Date | 2011-09-28 |
| Last Update Date | 2022-07-21 |