| NPI | 1942619572 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003152) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: IL 046010841) |
| 152W00000X Optometrist (Licence: VA 0618002387) | |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2021-11-03 |