| NPI | 1871944793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: TN 3517) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: AR 2744) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2022-05-04 |