| NPI | 1922241777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD0000002741) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT002394) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2018-12-07 |