| NPI | 1902842933 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3874) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003007) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2015-02-27 |