| NPI | 1972919595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC004979) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG002951) |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2015-08-24 |