| NPI | 1285870865 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT001939) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 1388) |
| Enumeration Date | 2009-01-02 |
| Last Update Date | 2018-08-07 |