| 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 |