| NPI | 1407216500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5166) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 5166) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2022-06-14 |