| NPI | 1689247876 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-319) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003349) |
| Enumeration Date | 2021-07-23 |
| Last Update Date | 2023-10-26 |