| NPI | 1447565817 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4546) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV-007635) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2022-11-08 |