| NPI | 1972165058 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5903) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC005903) |
| Enumeration Date | 2019-06-28 |
| Last Update Date | 2022-02-14 |