| NPI | 1801419007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5788) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: FL OPC5788) |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2021-06-03 |