| NPI | 1417520644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6421) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003345) |
| 152W00000X Optometrist (Licence: AL R-323-TA-C68) | |
| Enumeration Date | 2021-07-24 |
| Last Update Date | 2024-06-11 |