NPI | 1568214526 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003652) |
Additional Taxonomies | 152W00000X Optometrist (Licence: DC OP2000568) |
152W00000X Optometrist (Licence: VA 0618003389) | |
Enumeration Date | 2024-04-03 |
Last Update Date | 2025-07-21 |