| NPI | 1891757845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT 2837) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3740) |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2016-05-31 |