| NPI | 1447927918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TX 10429) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003847) |
| 152W00000X Optometrist (Licence: FL TRN33790) | |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2022-04-19 |