| NPI | 1538416177 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5179) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 8055T) |
| 152W00000X Optometrist (Licence: TX 8055TG) | |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2016-11-21 |