| NPI | 1790463024 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: NE 1660) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3836) |
| Enumeration Date | 2023-07-07 |
| Last Update Date | 2024-10-23 |