| NPI | 1720420037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2697) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3126) |
| Enumeration Date | 2013-07-28 |
| Last Update Date | 2019-02-26 |