| NPI | 1871944793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: SC 2449) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2744) |
| 152W00000X Optometrist (Licence: TN 3517) | |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2025-01-29 |