| NPI | 1497101125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003002) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: OK 2897) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2024-08-14 |