| NPI | 1710001573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 804) |
| Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TN 804) |
| 152WP0200X Optometrist, Pediatrics (Licence: TN 804) | |
| 152WV0400X Optometrist, Vision Therapy (Licence: TN 804) | |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-04-29 |