| NPI | 1740263722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 1436) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3726157) |
| Enumeration Date | 2005-11-23 |
| Last Update Date | 2022-07-21 |