| NPI | 1164914461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3537) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AL T-236-TA-B19) |
| Enumeration Date | 2018-06-01 |
| Last Update Date | 2022-01-07 |