| NPI | 1801676119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003574) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 6364) |
| Enumeration Date | 2023-10-03 |
| Last Update Date | 2024-07-25 |