| NPI | 1972127686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5789) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2743) |
| Enumeration Date | 2020-05-29 |
| Last Update Date | 2024-01-11 |