| NPI | 1740259571 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN T1187) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618000408) |
| Enumeration Date | 2006-03-15 |
| Last Update Date | 2020-09-13 |