| NPI | 1851731145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3135) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MS 883) |
| 152W00000X Optometrist (Licence: MO 2013022117) | |
| Enumeration Date | 2013-07-01 |
| Last Update Date | 2018-09-13 |