| NPI | 1679576128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL FLOPC#1977) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 1977) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL FLOPC#1977) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL FL OPC 1977) | |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2010-04-19 |