| NPI | 1528296563 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 1833) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2874) |
| Enumeration Date | 2009-06-29 |
| Last Update Date | 2017-04-12 |