| NPI | 1932381654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3423) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: WI 3098-035) |
| 152W00000X Optometrist (Licence: KY 1631DT) | |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2020-01-08 |