| NPI | 1295966828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ 2048) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2892) |
| Enumeration Date | 2009-07-30 |
| Last Update Date | 2015-12-10 |