| NPI | 1477960763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 987) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3193) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2019-08-13 |