| NPI | 1649843988 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6196) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CO 0003680) |
| 152W00000X Optometrist (Licence: CO OPT.0003680) | |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2023-03-13 |