| NPI | 1245262278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001181) |
| Additional Taxonomies | 152WP0200X Optometrist Pediatrics (Licence: GA OPT001181) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2023-11-08 |