| NPI | 1467445312 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: FL OPC2192) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC2192) |
| 152WP0200X Optometrist, Pediatrics (Licence: FL OPC2192) | |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2016-11-30 |