| NPI | 1467298828 |
|---|---|
| Former Name | ERICA LEE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003654) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 11104T) |
| Enumeration Date | 2024-07-05 |
| Last Update Date | 2025-09-24 |