| NPI | 1679513022 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: VA 0618002637) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3494) |
| 152WV0400X Optometrist, Vision Therapy (Licence: FL OPC 3494) | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2018-03-17 |