| NPI | 1366876310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002778) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA Opt002778) |
| 152WP0200X Optometrist, Pediatrics (Licence: GA opt002778) | |
| Enumeration Date | 2013-08-27 |
| Last Update Date | 2025-11-06 |