| NPI | 1013532480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3700) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MO 2020014960) |
| Enumeration Date | 2020-06-11 |
| Last Update Date | 2022-07-05 |