| NPI | 1871974345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD3226) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3226) |
| Enumeration Date | 2015-06-10 |
| Last Update Date | 2016-11-09 |