| NPI | 1750801866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3919) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: GA OPT003016) |
| Enumeration Date | 2017-06-21 |
| Last Update Date | 2024-11-26 |