| NPI | 1306214655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002927) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-D36-TA-A31) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2022-07-21 |