| NPI | 1326353475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD2937) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN ODT2937) |
| Enumeration Date | 2010-08-13 |
| Last Update Date | 2023-03-07 |