| NPI | 1952475790 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MT 781) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OFC26) |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2008-07-31 |