| NPI | 1952038903 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: GA OPT003656) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1959-905AT) |
| 152W00000X Optometrist (Licence: CT 3.003314) | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-06-04 |