| NPI | 1548328438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc 3924) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 544) |
| 152W00000X Optometrist (Licence: TN od 2576) | |
| 152W00000X Optometrist (Licence: KY 1625dt) | |
| 152W00000X Optometrist (Licence: CA opt13430T) | |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2010-05-17 |