| NPI | 1841340825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AL S-607-TA-148) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT001722) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: GA OPT001722) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: GA OPT001722) | |
| 152WP0200X Optometrist, Pediatrics (Licence: GA OPT001722) | |
| 152WX0102X Optometrist, Occupational Vision (Licence: GA OPT001722) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-07-17 |