NPI | 1588870505 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2961) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC2961) |
152WX0102X Optometrist, Occupational Vision (Licence: FL OPC 2961) | |
Enumeration Date | 2007-05-15 |
Last Update Date | 2016-05-03 |