| NPI | 1871550046 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP02495) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OP02495) |
| 152WP0200X Optometrist, Pediatrics (Licence: FL OP02495) | |
| Enumeration Date | 2006-04-29 |
| Last Update Date | 2023-04-14 |