| NPI | 1245840214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3862) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: LA 1917-853AT) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2024-08-02 |