| NPI | 1992357560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC5745) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5375) |
| 152W00000X Optometrist (Licence: CT 3115) | |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-10-30 |