| NPI | 1427668136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 0000003601) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 1042) |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2022-10-19 |