| NPI | 1447450531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2097) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4269) |
| 152W00000X Optometrist (Licence: PA OEG001942) | |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2021-06-03 |