| 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 |