NPI | 1932179942 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: AR 2384) |
Additional Taxonomies | 152W00000X Optometrist (Licence: MO T003012) |
152W00000X Optometrist (Licence: TN 2863) | |
152WP0200X Optometrist, Pediatrics (Licence: AR 2384) | |
Enumeration Date | 2006-01-23 |
Last Update Date | 2023-12-08 |