| NPI | 1689309098 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003452) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA 3019747) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2023-08-31 |