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 |