| NPI | 1871969949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3430) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 1894) |
| 152WC0802X Optometrist, Corneal and Contact Management (Licence: TN 3430) | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2018-09-21 |