| NPI | 1598110140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: KY 2263DT) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3231) |
| Enumeration Date | 2016-05-02 |
| Last Update Date | 2022-03-15 |