| NPI | 1871221390 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: MS 1066) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: TN 3773) |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2023-08-29 |