| NPI | 1265057350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3592) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 1010) |
| Enumeration Date | 2020-06-15 |
| Last Update Date | 2020-09-17 |