| NPI | 1881992600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: CT 002839) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4557) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2017-11-28 |