| NPI | 1255776506 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3431) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: NC 2340) |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2018-10-03 |