| NPI | 1457024499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-353) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003359) |
| Enumeration Date | 2021-07-27 |
| Last Update Date | 2024-09-09 |