| NPI | 1497143358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPFC98) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 2097DT) |
| Enumeration Date | 2014-12-30 |
| Last Update Date | 2020-08-27 |