| NPI | 1033422449 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002702) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2310) |
| 152W00000X Optometrist (Licence: MS 830) | |
| 152W00000X Optometrist (Licence: TN 2932) | |
| Enumeration Date | 2010-07-15 |
| Last Update Date | 2021-11-17 |