NPI | 1619162203 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: GA OPT002490) |
Additional Taxonomies | 152WS0006X Optometrist, Sports Vision (Licence: GA OPT002490) |
152WV0400X Optometrist, Vision Therapy (Licence: GA OPT002490) | |
152W00000X Optometrist (Licence: GA oPT002490) | |
152W00000X Optometrist (Licence: FL OPC4271) | |
Enumeration Date | 2007-09-07 |
Last Update Date | 2009-11-13 |