| NPI | 1396079281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: OR 3346) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2907) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2018-10-15 |