| NPI | 1538350715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6544) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NJ 27OA00610500) |
| 152W00000X Optometrist (Licence: VA 0618001997) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2025-05-19 |