| NPI | 1407984388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3844) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 11982T) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2011-02-09 |