| NPI | 1750110540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3892) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 1110) |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |