| NPI | 1225049380 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2704) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618000555) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2009-02-25 |