| NPI | 1871222919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC006072) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NV 1210) |
| Enumeration Date | 2022-06-06 |
| Last Update Date | 2026-06-05 |