| NPI | 1225098833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA ga2013) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL R-329-TA-C95) |
| Enumeration Date | 2006-03-27 |
| Last Update Date | 2023-10-17 |