| NPI | 1477886083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: AZ 1740) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OFC39) |
| 152W00000X Optometrist (Licence: IL 046.010237) | |
| Enumeration Date | 2009-09-14 |
| Last Update Date | 2015-08-05 |