| NPI | 1780237727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-E26-TA-B61) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003228) |
| Enumeration Date | 2019-07-18 |
| Last Update Date | 2021-10-15 |