| NPI | 1588732994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4190) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV006980) |
| Enumeration Date | 2006-12-01 |
| Last Update Date | 2016-03-29 |