| NPI | 1497162713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003001) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3190) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2026-06-03 |