| NPI | 1841424561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4516) |
| Additional Taxonomies | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: FL OPC 4516) |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: VA 0618002017) | |
| 152W00000X Optometrist (Licence: WA OD60093640) | |
| 152W00000X Optometrist (Licence: VA 0618002017) | |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2018-12-19 |