| NPI | 1669027736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3970) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: PA OEG003560) |
| Enumeration Date | 2019-08-06 |
| Last Update Date | 2025-10-28 |