| NPI | 1588224281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003281) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY 008964) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2020-09-22 |