| NPI | 1710478532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5602) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2766) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2026-05-20 |