| NPI | 1528410461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC SC1945) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN TN3330) |
| Enumeration Date | 2016-07-04 |
| Last Update Date | 2022-03-09 |