| NPI | 1578630539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2685) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 04797T) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2025-01-01 |