| NPI | 1548740517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5576) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL OCP5576) |
| Enumeration Date | 2018-08-18 |
| Last Update Date | 2021-11-30 |