| NPI | 1326485327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002809) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3127) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2013-05-30 |
| Last Update Date | 2022-01-10 |