| NPI | 1730705716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 1117) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3980) |
| 152W00000X Optometrist (Licence: AL S-E52-TA-B85) | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2025-12-17 |