| NPI | 1275131088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2648) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003288) |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2023-11-10 |