| NPI | 1356032205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: UT 14111771-9934) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC6261) |
| Enumeration Date | 2023-05-19 |
| Last Update Date | 2024-09-26 |