| NPI | 1649015645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MD TA3107) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003593) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2026-05-15 |