| NPI | 1124774377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002738) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3728) |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2024-12-06 |