| NPI | 1831541978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3312) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2751) |
| Enumeration Date | 2016-07-12 |
| Last Update Date | 2019-08-06 |