| NPI | 1700174836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4777) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: FL OPC4777) |
| 152WS0006X Optometrist, Sports Vision (Licence: FL OPC4777) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: FL OPC4777) | |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2018-06-02 |