| NPI | 1942518774 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4521) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2256) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2022-06-21 |