| NPI | 1073202727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC6264) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003614) |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2026-02-16 |