| NPI | 1336711944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003456) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: PA OEG003796) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2023-08-08 |