| NPI | 1518645019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 1080) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3820) |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2024-08-12 |