| NPI | 1982779294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3459) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: FL OPC3459) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2019-04-01 |