| NPI | 1376504258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2752) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN2115622) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2015-07-21 |