| NPI | 1730215591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4529) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1532568T) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2025-09-24 |