| NPI | 1548673833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4912) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008117) |
| Enumeration Date | 2014-06-04 |
| Last Update Date | 2018-05-17 |