| NPI | 1972051506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5498) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008424) |
| Enumeration Date | 2016-09-12 |
| Last Update Date | 2021-08-30 |