| NPI | 1962841056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN OD3112) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3112) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2016-04-26 |