NPI | 1912997941 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD467) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: TN OD467) |
152WP0200X Optometrist, Pediatrics (Licence: TN OD467) | |
Enumeration Date | 2005-10-21 |
Last Update Date | 2008-07-02 |