| NPI | 1811052640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2667) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 2506) |
| Enumeration Date | 2006-12-22 |
| Last Update Date | 2016-02-11 |