| NPI | 1659332583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002371) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY VUT0068551) |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2023-01-24 |