| NPI | 1699399386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OCP5798) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL OCP005798) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2021-03-16 |