| NPI | 1588659692 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: GA OPT002230) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002230) |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2007-10-04 |