| NPI | 1336436344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 2991) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 1022) |
| Enumeration Date | 2011-06-29 |
| Last Update Date | 2021-04-13 |