| NPI | 1255011060 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003568) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2466) |
| 152W00000X Optometrist (Licence: IN 18004440A) | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2024-08-22 |