| NPI | 1720573173 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5527) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MD TA2629) |
| Enumeration Date | 2018-06-28 |
| Last Update Date | 2021-03-28 |