| NPI | 1528028081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3664) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL OPC3664) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2010-07-26 |