| NPI | 1871085795 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 003127) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC5542) |
| Enumeration Date | 2018-06-06 |
| Last Update Date | 2024-08-08 |