| NPI | 1225316854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NC 2261) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2978) |
| Enumeration Date | 2011-08-01 |
| Last Update Date | 2012-08-03 |