| NPI | 1952673527 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WV0400X Optometrist, Vision Therapy (Licence: GA OPT002678) |
| Additional Taxonomies | 152WV0400X Optometrist, Vision Therapy (Licence: GA 2678) |
| 152W00000X Optometrist (Licence: TN 2997) | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2023-03-22 |