| NPI | 1750925020 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003515) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL S-E31-TA-B52) |
| Enumeration Date | 2019-10-30 |
| Last Update Date | 2025-04-16 |