| NPI | 1720100415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2382) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4002) |
| Enumeration Date | 2007-04-04 |
| Last Update Date | 2025-07-07 |