| NPI | 1811734064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003597) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: HI OD-1035) |
| Enumeration Date | 2024-07-12 |
| Last Update Date | 2024-09-24 |