| NPI | 1558744821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152WP0200X Optometrist, Pediatrics (Licence: TN 3240) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3240) |
| Enumeration Date | 2015-07-06 |
| Last Update Date | 2019-02-08 |