| NPI | 1447994983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6380) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: UT 128558109934) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: UT 128558109934) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2023-12-01 |