| NPI | 1932131521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC0002738) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD366) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2017-04-20 |