| NPI | 1467648741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OFC31) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG001980) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-07-28 |