| NPI | 1710957840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002042) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3707) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2023-07-20 |