NPI | 1477531317 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC0002336) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC0002336) |
152WP0200X Optometrist, Pediatrics (Licence: FL OPC0002336) | |
Enumeration Date | 2005-12-31 |
Last Update Date | 2022-10-11 |