| NPI | 1558055251 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AZ OPT-002907) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3807) |
| Enumeration Date | 2023-06-06 |
| Last Update Date | 2025-09-19 |