| NPI | 1407962798 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc3224) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AK 349) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2024-06-03 |