| NPI | 1316387210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002991) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-D06-TA-966) |
| Enumeration Date | 2013-06-25 |
| Last Update Date | 2021-01-26 |