| NPI | 1992878771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPL1525) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 1532) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2009-02-04 |