| NPI | 1518190677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618001900) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: KY 1758DT) |
| 152W00000X Optometrist (Licence: FL OPC 4434) | |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2021-04-29 |