| NPI | 1528498565 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3136) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN TN3136) |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2019-03-13 |