| NPI | 1982836151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2801) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC004474) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2024-06-26 |