| NPI | 1679541700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002191) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: SC 1332) |
| 152WV0400X Optometrist, Vision Therapy (Licence: SC 1332) | |
| 152W00000X Optometrist (Licence: SC 1332) | |
| 152W00000X Optometrist (Licence: MD TA2441) | |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: SC 1332) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2022-07-14 |