| NPI | 1548487333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3779) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA 13032tpa) |
| Enumeration Date | 2007-04-20 |
| Last Update Date | 2024-07-22 |