| NPI | 1487843587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: DE I3-0011437) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002988) |
| Enumeration Date | 2007-10-15 |
| Last Update Date | 2022-01-31 |