| NPI | 1396398855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3534) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TX 9787T) |
| 152W00000X Optometrist (Licence: GA OPT003279) | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2025-12-01 |