| NPI | 1447788419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5540) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OH 6578) |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2022-07-18 |