| NPI | 1851726384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4832) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1938) |
| 152W00000X Optometrist (Licence: GA OPT003123) | |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2023-01-13 |