| NPI | 1427666973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OPC5841) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC005841) |
| 152W00000X Optometrist (Licence: MO 2019021906) | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2020-09-09 |