| NPI | 1265617021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2746) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 785) |
| Enumeration Date | 2007-12-29 |
| Last Update Date | 2023-08-30 |