| NPI | 1427212216 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2961) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002474) |
| Enumeration Date | 2008-07-11 |
| Last Update Date | 2021-03-10 |