| NPI | 1619358462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3235) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: SC 2465) |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2025-09-16 |