| NPI | 1871271023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6417) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY T009834) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2025-06-18 |