| NPI | 1275563512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2613) |
| Additional Taxonomies | 152WP0200X Optometrist, Pediatrics (Licence: TN 2613) |
| 152WV0400X Optometrist, Vision Therapy (Licence: TN 2613) | |
| 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: TN 2613) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2013-07-01 |