| NPI | 1225037286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2843) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NH 759) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2013-09-09 |