| NPI | 1962644526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4289) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV007319) |
| Enumeration Date | 2009-03-28 |
| Last Update Date | 2013-09-11 |