| NPI | 1003066382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2713) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2837) |
| Enumeration Date | 2008-09-24 |
| Last Update Date | 2023-03-07 |