| NPI | 1871748715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2806) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002573) |
| Enumeration Date | 2008-11-19 |
| Last Update Date | 2023-02-12 |