| NPI | 1487206439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003176) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: GA OPT003176) |
| Enumeration Date | 2019-07-10 |
| Last Update Date | 2019-07-10 |