| NPI | 1922267301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: LA 1267-421T) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4193) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2014-08-21 |