| NPI | 1629359484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3708) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: CA OPT14692TLG) |
| 152W00000X Optometrist (Licence: AL R-206-TA-908) | |
| Enumeration Date | 2011-09-07 |
| Last Update Date | 2023-02-27 |