| NPI | 1821220591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1583-616T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC4489) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2011-01-24 |