| NPI | 1831401215 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL R-199-TA-886) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002641) |
| 152WP0200X Optometrist, Pediatrics (Licence: NY TUV007583) | |
| Enumeration Date | 2010-07-13 |
| Last Update Date | 2020-01-22 |