| NPI | 1326483405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT3743) |
| Additional Taxonomies | 156FC0800X Technician/Technologist, Contact Lens (Licence: GA LDO002220) |
| 156FX1800X Technician/Technologist, Optician (Licence: GA LDO002220) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA OPT3743) | |
| Enumeration Date | 2013-05-02 |
| Last Update Date | 2026-05-31 |