| NPI | 1922410885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT002866) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NY TUV008164-1) |
| Enumeration Date | 2014-05-27 |
| Last Update Date | 2022-06-09 |