| NPI | 1750506127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2681) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: VA 0618001640) |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2019-08-29 |