| NPI | 1851022156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003634) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: KY 262851) |
| Enumeration Date | 2022-06-19 |
| Last Update Date | 2024-11-21 |