| NPI | 1144775396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: TN OD3369) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 33510) |
| 152W00000X Optometrist (Licence: TN OD3369) | |
| Enumeration Date | 2016-08-17 |
| Last Update Date | 2022-03-21 |