| NPI | 1801984059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4021) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: FL OPC 4021) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2023-10-10 |