| NPI | 1164620878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003532) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL SB69TA777) |
| Enumeration Date | 2007-07-03 |
| Last Update Date | 2024-07-22 |